Heart Attacks, Cancer and strokes. Preventative approaches Message Board

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Pastimes : Heart Attacks, Cancer and strokes. Preventative approaches

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To: LindyBill who wrote (292)	7/22/2008 3:12:52 PM
From: jrhana	of 39365

Well OK that's pretty outrageous-have to agree with you. Nobody I know really pays any attention to the AHA except when they drive the whole world crazy by constantly changing the CPR protocol. I want to emphasize that just everything that is advocated on this thread except marijuana of course (that's a joke son <g>) is pretty much medical orthodoxy including vitamin D now. In Miami I never found this great conflict between preventional and interventional cardiologists. That could be because Agatston is here and he's both the author of the South Beach Diet and the father of calcium scoring. Sure there are Doctors who aren't getting he word, but all they have to do is glance at their Email CME programs-it's all there. But really it's the public that needs to be educated. I see people walking around drinking oversized sodas all the time. The truth is that people will continue to be overweight, smoke eat sugars, neglect their hypertension and diabetes and cholesterol levels, wtc etc etc. These people show up in the ER at 3 in the morning with massive MIs, and someone has to take care of them. It's the interventional cardiologist who has to go the cath lab and try and save these slobs that never bothered to take care of themselves. So I consider the interventional cardiologist with his 80-100 hour work week to be not a villain but a hero. The interventionist is more than happy to see the preventional guy trying to get people to take care of themselves. But lets face it-the majority will just continue on until they get their MI and stroke. Incidentally, the preventional cardiologist has a much nicer life style. It's all office based with regular hours no nights or weekends. In fact I've seen some elderly cardiologists go into the field precisely because they can no longer stand the rigors of regular cardiology. If a preventionist's patient gets in trouble at 3 AM it's just go to the ER and call the interventionist. Nothing wrong about that of course. These elderly cardiologists have had a huge amount of experience, and I find they make very effective preventionists. And they certainly have paid their dues.

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